Legal Medicine
Volume 12, Issue 5 , Pages 215-222 , September 2010

Clinical radiology and postmortem imaging (Virtopsy) are not the same: Specific and unspecific postmortem signs

  • Andreas Christe

      Affiliations

    • Department of Radiology, Inselspital, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland
    • Institute of Forensic Medicine, University of Bern, Buehlstrasse 20, 3012 Bern, Switzerland
    • Corresponding Author InformationCorresponding author at: Department of Radiology, Inselspital, University of Bern, Freiburgstrasse, CH-3010 Bern, Switzerland. Tel.: +41 316322111.
    • ,
  • Patricia Flach

      Affiliations

    • Institute of Forensic Medicine, University of Bern, Buehlstrasse 20, 3012 Bern, Switzerland
    • ,
  • Steffen Ross

      Affiliations

    • Institute of Forensic Medicine, University of Bern, Buehlstrasse 20, 3012 Bern, Switzerland
    • ,
  • Danny Spendlove

      Affiliations

    • Institute of Forensic Medicine, University of Bern, Buehlstrasse 20, 3012 Bern, Switzerland
    • ,
  • Stephan Bolliger

      Affiliations

    • Institute of Forensic Medicine, University of Bern, Buehlstrasse 20, 3012 Bern, Switzerland
    • ,
  • Peter Vock

      Affiliations

    • Department of Radiology, Inselspital, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland
    • ,
  • Michael J. Thali

      Affiliations

    • Institute of Forensic Medicine, University of Bern, Buehlstrasse 20, 3012 Bern, Switzerland

Received 16 February 2010 ,Revised 7 April 2010 ,Accepted 13 May 2010.

References 

  1. Thali MJ, Yen K, Schweitzer W, et al. Virtopsy, a new imaging horizon in forensic pathology: virtual autopsy by postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) – a feasibility study. J Forensic Sci. 2003;48(2):386–403
  2. Ross S, Spendlove D, Bolliger S, et al. Postmortem whole-body CT angiography: evaluation of two contrast media solutions. Am J Roentgenol. 2008;190(5):1380–1389
  3. Grabherr S, Gygax E, Sollberger B, et al. Two-step postmortem angiography with a modified heart–lung machine: preliminary results. Am J Roentgenol. 2008;190(2):345–351
  4. Jackowski C, Persson A, Thali MJ. Whole body postmortem angiography with a high viscosity contrast agent solution using poly ethylene glycol as contrast agent dissolver. J Forensic Sci. 2008;53(2):465–468
  5. Aghayev E, Sonnenschein M, Jackowski C, et al. Postmortem radiology of fatal hemorrhage: measurements of cross-sectional areas of major blood vessels and volumes of aorta and spleen on MDCT and volumes of heart chambers on MRI. Am J Roentgenol. 2006;187(1):209–215
  6. Jackowski C, Sonnenschein M, Thali MJ, et al. Intrahepatic gas at postmortem computed tomography: forensic experience as a potential guide for in vivo trauma imaging. J Trauma. 2007;62(4):979–988
  7. Jackowski C, Thali M, Aghayev E, et al. Postmortem imaging of blood and its characteristics using MSCT and MRI. Int J Legal Med. 2005;19:1–8
  8. Shiotani S, Kohno M, Ohashi N, et al. Hyperattenuating aortic wall on postmortem computed tomography (PMCT). Radiat Med. 2002;20(4):201–206
  9. Christe A, Aghayev E, Jackowski C, et al. Drowning – post-mortem imaging findings by computed tomography. Eur Radiol. 2008;18(2):283–290
  10. Yen K, Lövblad KO, Scheurer E, et al. Post-mortem forensic neuroimaging: correlation of MSCT and MRI findings with autopsy results. Forensic Sci Int. 2007;173(1):21–35
  11. Yen K, Thali MJ, Aghayev E, et al. Strangulation signs: initial correlation of MRI, MSCT, and forensic neck findings. J Magn Reson Imaging. 2005;22(4):501–510
  12. Jackowski C, Christe A, Sonnenschein M, et al. Postmortem unenhanced magnetic resonance imaging of myocardial infarction in correlation to histological infarction age characterization. Eur Heart J. 2006;27(20):2459–2467
  13. Pedal I, Moosmayer A, Mallach HJ, et al. Air embolism or putrefaction? Gas analysis findings and their interpretation. Z Rechtsmed. 1987;99:151–167
  14. Patzelt D, Lignitz E, Keil W, et al. Diagnostic problem of air embolism in a corpse. Beitr Gerichtl Med. 1997;37:401–405
  15. Keil W, Bretschneider K, Patzelt D, et al. Air embolism or putrefaction gas? The diagnosis of cardiac air embolism in the cadaver. Beitr Gerichtl Med. 1980;38:395–408
  16. Añon J, Remonda L, Spreng A, et al. Traumatic extra-axial hemorrhage: correlation of postmortem MSCT, MRI, and forensic-pathological findings. J Magn Reson Imaging. 2008;28(4):823–836
  17. Bradley WG. Hemorrhage. In: Stark DD, Bradley WG, editors. Magnetic resonance imaging. Mosby, St. Louis; 1999. p. 1329–59.
  18. Andenmatten MA, Thali MJ, Kneubuehl BP, Oesterhelweg L, Ross S, Spendlove D, et al. Gunshot injuries detected by post-mortem multislice computed tomography (MSCT): a feasibility study. Leg Med (Tokyo). 2008;10(6):287–292[Epub 2008 May 15]
  19. Oesterhelweg L, Ross S, Spendlove D, Schoen CA, Christe A, Thali MJ, et al. Virtopsy: fatal stab wounds to the skull – the relevance of ante-mortem and post-mortem radiological data in case reconstructions. Leg Med (Tokyo). 2007;9(6):314–317[Epub 2007 Jun 12]
  20. Srinivasan A, Goyal M, Al Azri F, et al. State-of-the-art imaging of acute stroke. Radiographics. 2006;26(Suppl. 1):S75–S95
  21. Schaefer PW, Grant PE, Gonzalez RG. Diffusion-weighted MR imaging of the brain. Radiology. 2000;217:331–345
  22. Chien D, Kwong KK, Gress DR, et al. MR diffusion imaging of cerebral infarction in humans. Am J Neuroradiol. 1992;13:1097–1102
  23. Mintorovitch J, Yang GY, Shimizu H, et al. Diffusion-weighted magnetic resonance imaging of acute focal cerebral ischemia: comparison of signal intensity with changes in brain water and Na+, K(+)-ATPase activity. J Cereb Blood Flow Metab. 1994;14:332–336
  24. Kucharczyk J, Vexler ZS, Roberts TP, et al. Echo-planar perfusion-sensitive MR imaging of acute cerebral ischemia. Radiology. 1993;188:711–717
  25. Yen K, Vock P, Christe A, et al. Clinical forensic radiology in strangulation victims: forensic expertise based on magnetic resonance imaging (MRI) findings. Int J Legal Med. 2007;121(2):115–123
  26. Christe A, Thoeny H, Ross S, et al. Life-threatening versus non life-threatening manual strangulation: are there appropriate criteria by MR Imaging of the neck?. Eur Radiol. 2009;19(8):1882–1889
  27. Kempter M, Ross S, Spendlove D, Flach PM, Preiss U, Thali MJ, et al. Post-mortem imaging of laryngohyoid fractures in strangulation incidents: first results. Leg Med (Tokyo). 2009;11(6):267–271[Epub 2009 Sep 6]
  28. Aghayev E, Christe A, Sonnenschein M, et al. Postmortem imaging of blunt chest trauma using CT and MRI: comparison with autopsy. J Thorac Imaging. 2008;23(1):20–27
  29. Erbel R. Diseases of the thoracic aorta. Heart. 2001;86(2):227–234
  30. Wenstrup RJ, Meyer RA, Lyle JS, et al. Prevalence of aortic root dilation in the Ehlers–Danlos syndrome. Genet Med. 2002;4(3):112–117
  31. Erbel R, Alfonso F, Boileau C, et al. Task force on aortic dissection, European society of cardiology diagnosis and management of aortic dissection. Eur Heart J. 2001;22(18):1642–1681
  32. Ruder TD, Ross S, Preiss U, Thali MJ. Minimally invasive post-mortem CT-angiography in a case involving a gunshot wound. Leg Med (Tokyo). 2010;12(2):57–112[Epub 2010 March 28]
  33. Schnider J, Thali MJ, Ross S, Oesterhelweg L, Spendlove D, Bolliger SA. Injuries due to sharp trauma detected by post-mortem multislice computed tomography (MSCT): a feasibility study. Leg Med (Tokyo). 2009;11(1):4–9
  34. Miller JA, Singer A, Hinrichs C, et al. Cardiac dimensions derived from helical CT: correlation with plain film radiography. Internet J Radiol. 2000;1(1):
  35. Shiotani S, Kohno M, Ohashi N, et al. Dilatation of the heart on postmortem computed tomography (PMCT): comparison with live CT. Radiat Med. 2003;21(1):29–35[21(2)]
  36. Kelly J, Raptopoulos V, Davidoff A, et al. The value of non-contrast-enhanced CT in blunt abdominal trauma. Am J Roentgenol. 1989;152:41–48
  37. Thali MJ, Jackowski C, Oesterhelweg L, Ross SG, Dirnhofer R. Virtopsy – the Swiss virtual autopsy approach. Leg Med (Tokyo). 2007;9(2):100–104
  38. Christe A, Ross SG, Oesterhelweg L, Spendlove D, Bolliger S, Vock P, et al. Abdominal trauma – sensitivity and specificity of postmortem non contrast imaging findings compared to autopsy findings. J Trauma. 2009;66(5):1302–1307

PII: S1344-6223(10)00087-8

doi: 10.1016/j.legalmed.2010.05.005

Legal Medicine
Volume 12, Issue 5 , Pages 215-222 , September 2010

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